Individual
JUDITH L BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10 CHERRY PL, HUNTINGTON, NY 11743-1909
(631) 673-6853
Mailing address
10 CHERRY PL, HUNTINGTON, NY 11743-1909
(631) 673-6853
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001566
NY
Other
Enumeration date
12/04/2006
Last updated
12/05/2007
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